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From what I have come across so far NICE seems to be basing its guidelines on existing RCOG guidelines so its not surprising that they are so medically biased. However the good news is that the Association of Radical Midwives is now officially recognised as a stakeholder organisation and is able to recommend midwives to serve on the guideline making groups so things may change (and pigs may fly!) Margaret ----- Original Message ----- From: Sue Dennett <[log in to unmask]> To: <[log in to unmask]> Sent: Tuesday, May 14, 2002 8:31 PM Subject: Re: Routine use of antenatal Anti- D > In support of Belinda's comments ... > > I do agree that this is a sledge-hammer to crack a nut. Not only of the cost > involved (and will it receive central funding??) but also the increased > demands on service providers especially if they provide a community based > service; the logistics for rural communities will be tested! > > In the two areas I have recently worked in, it was one of the few areas where > there was truly multi-professional agreement on the rejection of this > initiative - I am amazed that NICE support it. > > How much pressure are we under to implement NICE guidelines; especially in > the scenario of a consensus opinion against the findings?? > > This is the site for information about evidence on which to base practice - I > am yet to be convinced and would be grateful if someone could persuade me > that this is the way to go. > > Sue Dennett > > > > > >